Periodontitis in individuals with few remaining teeth and a high gingival bleeding index increases the probability of dyslipidemia.

Autor: Gomes-Filho IS; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil., Freitas TOB; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil., Cruz SSD; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.; Health Sciences Center, Federal University of Recôncavo of Bahia, Bahia, Brazil., Trindade SC; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil., Figueiredo ACMG; Epidemiology Surveillance, Federal District Health State Department, Distrito Federal, Brasília, Brazil., Couto Souza PH; Department of Dentistry, Pontifical Catholic University of Paraná, Paraná, Brazil., Cerqueira EMM; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil., Hintz AM; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil., Carneiro DO; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.; Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil., Lacerda JA; Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil., Seymour GJ; School of Dentistry, The University of Queensland, Queensland, Australia., Scannapieco FA; Department of Oral Biology, University at Buffalo, Buffalo, New York, USA., Loomer PM; School of Dentistry, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA., Passos-Soares JS; Department of Health, Feira de Santana State University, Feira de Santana, Bahia, Brazil.; Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil.
Jazyk: angličtina
Zdroj: Journal of periodontology [J Periodontol] 2023 Oct; Vol. 94 (10), pp. 1243-1253. Date of Electronic Publication: 2023 Jun 13.
DOI: 10.1002/JPER.23-0091
Abstrakt: Background: Dyslipidemia, a silent multifactorial condition, is characterized by changes in blood lipid levels, affecting all socioeconomic strata, increasing the risk for atherosclerotic diseases. This study investigated whether there is an association between dyslipidemia and the combined exposure of periodontitis plus the number of remaining teeth, gingival bleeding, or caries.
Methods: A two-center cross-sectional study was conducted involving 1270 individuals, with a minimum age of 18 years. Socioeconomic and demographic data, health conditions, lifestyle parameters, and anthropometric, biochemical, and oral clinical examinations were performed. The exposures considered were the presence of periodontitis, dental caries, number of remaining teeth, and gingival bleeding. The outcome was dyslipidemia as defined by the Brazilian Guidelines on Dyslipidemia and Prevention of Atherosclerosis. The combined associations between periodontitis plus other oral health conditions and dyslipidemia were estimated using confounder-adjusted prevalence ratios (PR single , PR multiple , for single and multiple covariable adjustments) with 95% confidence intervals (95% CIs), in a Poisson regression model with robust variance.
Results: The occurrence of dyslipidemia was 70.1% and periodontitis was 84.1%. A positive association between periodontitis and dyslipidemia existed: PR single  = 1.13; 95% CI: 1.01-1.26. Combined exposure of periodontitis plus <11 remaining teeth (PR multiple  = 1.23; 95% CI: 1.05-1.43), as well as combined exposure of periodontitis plus ≥10% gingival bleeding and <11 remaining teeth (PR multiple  = 1.22; 95% CI: 1.03-1.44), represented greater probabilities of 23% and 22% of individuals having a diagnosis of dyslipidemia.
Conclusion: Periodontitis combined with fewer than 11 teeth doubled the likelihood of being diagnosed with dyslipidemia.
(© 2023 American Academy of Periodontology.)
Databáze: MEDLINE
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